☆ 4.5 Article

AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY DISEASE STATE CLINICAL REVIEW: POSTOPERATIVE MANAGEMENT FOLLOWING PITUITARY SURGERY

ENDOCRINE PRACTICE (2015)

Journal

ENDOCRINE PRACTICE

Volume 21, Issue 7, Pages 832-838

Publisher

AMER ASSOC CLINICAL ENDOCRINOLOGISTS

DOI: 10.4158/EP14541.DSCR

Keywords

-

Categories

Endocrinology & Metabolism

Ask authors/readers for more resources

Protocol

Community support

Reagent

Community support

Abstract

Pituitary lesions are common in the general population. Patients can present with a wide range of signs and symptoms that can be related to tumor mass effects or pituitary hormonal alterations. Evaluation involves assessing patients for the extent of tumor burden and pituitary hyperor hypofunction and includes clinical exams, hormonal testing, and brain imaging. Preoperative diagnosis and treatment planning generally require a multidisciplinary team approach with expertise from endocrinologists, neurosurgeons, neuro-ophthalmologists, and neuroradiologists. This review will outline considerations for the evaluation and management of patients with pituitary masses at each stage in their treatment including the pre-, peri- and postoperative phases.

Authors

I am an author on this paper

Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5

Not enough ratings

Secondary Ratings

Novelty

-

Significance

-

Scientific rigor

-

Rate this paper

Recommended

Article Endocrinology & Metabolism

Italian Association of Clinical Endocrinologists (AME) and International Chapter of Clinical Endocrinology (ICCE). Position statement for clinical practice: prolactin-secreting tumors

Renato Cozzi, Maria Rosaria Ambrosio, Roberto Attanasio, Claudia Battista, Alessandro Bozzao, Marco Caputo, Enrica Ciccarelli, Laura De Marinis, Ernesto De Menis, Marco Faustini Fustini, Franco Grimaldi, Andrea Lania, Giovanni Lasio, Francesco Logoluso, Marco Losa, Pietro Maffei, Davide Milani, Maurizio Poggi, Michele Zini, Laurence Katznelson, Anton Luger, Catalina Poiana

Summary: Prolactinomas are the most common pituitary adenomas and require individualized treatment approaches. Italian neuroendocrine experts have provided guidelines for diagnosis and treatment that can be easily applied in different contexts. Advances in neurosurgical endoscopic techniques have shown that surgery can result in permanent discontinuation of medication and cure for some patients.

EUROPEAN JOURNAL OF ENDOCRINOLOGY (2022)

Add to Collection

Article Obstetrics & Gynecology

Postoperative adverse events following gender-affirming vaginoplasty: an American College of Surgeons National Surgical Quality Improvement Program study

Kavita Mishra, Cecile A. Ferrando

Summary: This study aimed to describe severe and overall 30-day adverse events after gender-affirming vaginoplasty using a large multi-center database. The study found that severe postoperative complications were rare in transgender women undergoing vaginoplasty for gender affirmation, with most patients experiencing minor complications or no complications after surgery.

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY (2023)

Add to Collection

Article Gastroenterology & Hepatology

American Gastroenterological Association-American College of Gastroenterology Clinical Practice Guideline: Pharmacological Management of Chronic Idiopathic Constipation

Lin Chang, William D. Chey, Aamer Imdad, Christopher V. Almario, Adil E. Bharucha, Susan Diem, Katarina B. Greer, Brian Hanson, Lucinda A. Harris, Cynthia Ko, M. Hassan Murad, Amit Patel, Eric D. Shah, Anthony J. Lembo, Shahnaz Sultan

Summary: This article provides evidence-based practice recommendations for the pharmacological treatment of chronic idiopathic constipation (CIC), with 10 recommendations agreed upon by a multidisciplinary guideline panel. Some medications, such as polyethylene glycol and linaclotide, are strongly recommended for CIC treatment in adults, while others, such as fiber, are conditionally recommended.

GASTROENTEROLOGY (2023)

Add to Collection

Article Otorhinolaryngology

Consensus statement by the American Association of Clinical Endocrinologists and the American Head and Neck Society Endocrine Surgery Section on Pediatric Benign and Malignant Thyroid Surgery

Brendan C. Stack, Christine Twining, Jeff Rastatter, Peter Angelos, Zubair Baloch, Gillian Diercks, William Faquin, Ken Kazahaya, Scott Rivkees, Tony Sheyn, Jennifer J. Shin, Jessica Smith, Geoffrey Thompson, Pushpa Viswanathan, Ari Wassner, Jennifer Brooks, Gregory Randolph

Summary: A clinical review and expert consensus statements were generated on the diagnosis and care of pediatric thyroid cancer, focusing on the value of surgical experience. Pediatric thyroid cancer presents unique challenges such as bulky cervical adenopathy, diffuse sclerosing variant, and potential complications. Optimal outcomes and decreased morbidity are suggested to come from advanced imaging, diagnostic testing, and neural monitoring in high-volume centers by high-volume surgeons.

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK (2021)

Add to Collection

Article Clinical Neurology

Postoperative Oral Antibiotics and Sinonasal Outcomes Following Endoscopic Transsphenoidal Surgery for Pituitary Tumors Study: A Multicenter, Prospective, Randomized, Double-Blinded, Placebo-Controlled Study

Andrew S. Little, Varun R. Kshettry, Marc R. Rosen, Ryan M. Rehl, Timothy W. Haegen, Mindy R. Rabinowitz, Gurston G. Nyquist, Pablo F. Recinos, Raj Sindwani, Troy D. Woodard, Christopher J. Farrell, Griffin D. Santarelli, John Milligan, James J. Evans

Summary: The study found that postoperative prophylactic oral antibiotics did not result in superior sinonasal quality of life compared with placebo among patients who underwent standard endoscopic transsphenoidal surgery.

NEUROSURGERY (2021)

Add to Collection

Article Gastroenterology & Hepatology

American Gastroenterological Association-American College of Gastroenterology Clinical Practice Guideline: Pharmacological Management of Chronic Idiopathic Constipation

Lin Chang, William D. Chey, Aamer Imdad, Christopher V. Almario, Adil E. Bharucha, Susan Diem, Katarina B. Greer, Brian Hanson, Lucinda A. Harris, Cynthia Ko, M. Hassan Murad, Amit Patel, Eric D. Shah, Anthony J. Lembo, Shahnaz Sultan

Summary: This article is a clinical practice guideline for the pharmacological treatment of chronic idiopathic constipation (CIC) in adults. It provides evidence-based practice recommendations, including the use of polyethylene glycol, sodium picosulfate, linaclotide, plecanatide, and prucalopride. The article also highlights limitations and gaps in the evidence to guide future research opportunities and improve patient care.

AMERICAN JOURNAL OF GASTROENTEROLOGY (2023)

Add to Collection

Article Critical Care Medicine

Perioperative Management of Antithrombotic Therapy: An American College of Chest Physicians Clinical Practice Guideline

James D. Douketis, Alex C. Spyropoulos, M. Hassan Murad, Juan Arcelus, William E. Dager, Andrew S. Dunn, Ramiz A. Fargo, Jerrold H. Levy, C. Marc Samama, Sahrish H. Shah, Matthew W. Sherwood, Alfonso J. Tafur, Liang Tang, Lisa K. Moores

Summary: This study provides guidelines for the perioperative management of patients receiving long-term oral anticoagulant or antiplatelet therapy who require elective surgery. Recommendations are generated based on different treatment types. However, there is still uncertainty regarding the best practices for most perioperative management questions.

CHEST (2022)

Add to Collection

Article Critical Care Medicine

Perioperative Management of Antithrombotic Therapy An American College of Chest Physicians Clinical Practice Guideline

James D. Douketis, Alex C. Spyropoulos, M. Hassan Murad, Juan Arcelus, William E. Dager, Andrew S. Dunn, Ramiz A. Fargo, Jerrold H. Levy, C. Marc Samama, Sahrish H. Shah, Matthew W. Sherwood, Alfonso J. Tafur, Liang Tang, Lisa K. Moores

Summary: The American College of Chest Physicians has issued a clinical practice guideline on the perioperative management of antithrombotic therapy for patients receiving long-term oral anticoagulant or antiplatelet therapy. The guideline provides recommendations for the management of patients receiving different types of anticoagulants or antiplatelet drugs and undergoing various types of surgery or procedures. The recommendations are based on the available evidence, but uncertainty remains for many of the perioperative management questions.

CHEST (2022)

Add to Collection

Article Medicine, General & Internal

Clinical risk score for postoperative pneumonia following heart valve surgery

Da-Shuai Wang, Xiao-Fan Huang, Hong-Fei Wang, Sheng Le, Xin-Ling Du

Summary: This study identified major risk factors associated with postoperative pneumonia (POP) following heart valve surgery (HVS) and developed a 22-point risk score with good discrimination and calibration, which can be useful in preventive interventions and risk management.

CHINESE MEDICAL JOURNAL (2021)

Add to Collection

Article Clinical Neurology

Early postoperative MRI and detection of residual adenoma after transsphenoidal pituitary surgery

Lea M. Alhilali, Andrew S. Little, Kevin C. J. Yuen, Jae Lee, Timothy K. Ho, Saeed Fakhran, William L. White

Summary: In this study of 102 patients undergoing microscopic transsphenoidal resection of a pituitary adenoma, early postoperative MRI showed high sensitivity and specificity for detecting residual tumors, with better reliability than late postoperative MRI. Early MRI identified 4 residual tumors that were missed by intraoperative assessment and late MRI, providing important guidance for reoperation in select patients.

JOURNAL OF NEUROSURGERY (2021)

Add to Collection

Article Clinical Neurology

Evaluation of early postoperative day 1 discharge after endoscopic endonasal pituitary adenoma resection

Siyuan Yu, Mohammad Taghvaei, Sarah Collopy, Keenan Piper, Michael Karsy, Pascal Lavergne, Blair Barton, Chandala Chitguppi, Glen D'Souza, Marc R. Rosen, Gurston G. Nyquist, Mindy Rabinowitz, Christopher J. Farrell, James J. Evans

Summary: This study demonstrated that discharge on postoperative day 1 after endonasal transsphenoidal surgery (ETS) for pituitary adenomas was safe and feasible without an increased risk of readmission within 30 days. Factors associated with increased risk of prolonged length of stay included diabetes insipidus (DI) and intraoperative cerebrospinal fluid leak, while the surgical epoch was associated with decreased risk of prolonged length of stay.

JOURNAL OF NEUROSURGERY (2022)

Add to Collection

Article Medicine, General & Internal

Association between Preoperative Medication Lists and Postoperative Hospital Length of Stay after Endoscopic Transsphenoidal Pituitary Surgery

Mary Saad, Benjamin Salze, Bernard Trillat, Olivier Corniou, Alexandre Vallee, Morgan Le Guen, Aurelien Latouche, Marc Fischler

Summary: This study found that patients taking ATC-H drugs preoperatively were at an increased risk of prolonged hospital stay after endoscopic transsphenoidal pituitary surgery, especially for those taking multiple medications. Clinicians should be aware of the vulnerability of these patients and consider individualized care plans.

JOURNAL OF CLINICAL MEDICINE (2022)

Add to Collection

Article Medicine, General & Internal

Postoperative Olfaction Alteration Following Laparoscopic Bariatric Surgery

Magdalena Pisarska-Adamczyk, Piotr Tylec, Natalia Gajewska, Julia Wierzbicka, Krzysztof Przeczek, Piotr Malczak, Michal Wysocki, Michal Pedziwiatr, Mateusz Wierdak, Piotr Major

Summary: This study aimed to investigate the impact of bariatric surgery on olfactory changes in the short postoperative period. The results showed a deterioration of odor threshold in the bariatric surgery group compared to the control group 24 hours after surgery, with this change primarily occurring in patients undergoing LSG.

JOURNAL OF CLINICAL MEDICINE (2021)

Add to Collection

Article Cardiac & Cardiovascular Systems

2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

Jennifer S. Lawton, Jacqueline E. Tamis-Holland, Sripal Bangalore, Eric R. Bates, Theresa M. Beckie, James M. Bischoff, John A. Bittl, Mauricio G. Cohen, J. Michael DiMaio, Creighton W. Don, Stephen E. Fremes, Mario F. Gaudino, Zachary D. Goldberger, Michael C. Grant, Jang B. Jaswal, Paul A. Kurlansky, Roxana Mehran, Thomas S. Jr Jr Metkus, Lorraine C. Nnacheta, Sunil Rao, Frank W. Sellke, Garima Sharma, Celina M. Yong, Brittany A. Zwischenberger

Summary: The executive summary of the American College of Cardiology/American Heart Association/Society for Cardiovascular Angiography and Interventions coronary artery revascularization guideline provides a patient-centric approach to guide clinicians in the treatment of patients with significant coronary artery disease. This summary includes the top 10 take-home messages from the full guideline, along with recommendations, tables, and figures.

CIRCULATION (2022)

Add to Collection

Article Cardiac & Cardiovascular Systems

2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines

Eric M. Isselbacher, Ourania Preventza, James Hamilton Black, John G. Augoustides, Adam W. Beck, Michael A. Bolen, Alan C. Braverman, Bruce E. Bray, Maya M. Brown-Zimmerman, Edward P. Chen, Tyrone J. Collins, Abe DeAnda, Christina L. Fanola, Leonard N. Girardi, Caitlin W. Hicks, Dawn S. Hui, William Schuyler Jones, Vidyasagar Kalahasti, Karen M. Kim, Dianna M. Milewicz, Gustavo S. Oderich, Laura Ogbechie, Susan B. Promes, Elsie Gyang Ross, Marc L. Schermerhorn, Sabrina Singleton Times, Elaine E. Tseng, Grace J. Wang, Y. Joseph Woo

Summary: The 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease provides recommendations for clinicians on the diagnosis, genetic evaluation, medical therapy, endovascular and surgical treatment, and long-term surveillance of patients with various clinical presentations of aortic disease. The guideline emphasizes the importance of shared decision making and institutional interventional volume and multidisciplinary expertise in the care of patients with aortic disease.

CIRCULATION (2022)

Add to Collection

Article Endocrinology & Metabolism

Italian Association of Clinical Endocrinologists (AME) and Italian AACE Chapter Position Statement for Clinical Practice: Acromegaly - Part I: Diagnostic and Clinical Issues

Renato Cozzi, Maria R. Ambrosio, Roberto Attanasio, Alessandro Bozzao, Laura De Marinis, Ernesto De Menis, Edoardo Guastamacchia, Andrea Lania, Giovanni Lasio, Francesco Logoluso, Pietro Maffei, Maurizio Poggi, Vincenzo Toscano, Michele Zini, Philippe Chanson, Laurence Katznelson

ENDOCRINE METABOLIC & IMMUNE DISORDERS-DRUG TARGETS (2020)

Add to Collection

Editorial Material Education, Scientific Disciplines

The New USMLE Step 1 Paradigm: An Opportunity to Cultivate Diversity of Excellence

Suzann Pershing, John Patrick T. Co, Laurence Katznelson

ACADEMIC MEDICINE (2020)

Add to Collection

Article Endocrinology & Metabolism

A Pituitary Society update to acromegaly management guidelines

Maria Fleseriu, Beverly M. K. Biller, Pamela U. Freda, Monica R. Gadelha, Andrea Giustina, Laurence Katznelson, Mark E. Molitch, Susan L. Samson, Christian J. Strasburger, A. J. van der Lely, Shlomo Melmed

Summary: This article focuses on recent advances in the management of acromegaly, emphasizing how key developments affect treatment decisions and outcomes. It also explores the potential role of recently FDA-approved therapies and combination therapies in the treatment arsenal.

PITUITARY (2021)

Add to Collection

Article Endocrinology & Metabolism

Glucocorticoid use in patients with adrenal insufficiency following administration of the COVID-19 vaccine: a pituitary society statement

Laurence Katznelson, Monica Gadelha

Summary: Most clinicians plan to maintain the current glucocorticoid dose with vaccine administration, but the vast majority plan to increase the dose in case of fever, and just under half in case of arthralgias and myalgias. These survey results offer suggested management guidance for glucocorticoid management in patients with adrenal insufficiency.

PITUITARY (2021)

Add to Collection

Article Education, Scientific Disciplines

Performance Nutrition for Physician Trainees Working Overnight Shifts: A Randomized Controlled Trial

Maryam S. Makowski, Mickey T. Trockel, Nikitha K. Menon, Hanhan Wang, Laurence Katznelson, Tait D. Shanafelt

Summary: This study compares the acute effects of two dietary interventions with usual dietary habits on physician trainees' alertness during overnight shifts. The results show that dietary interventions can mitigate the negative effects of sleep deprivation on physician trainees during overnight shifts, but have no positive effects on sensory-motor speed, working memory, risk decision making, or work exhaustion.

ACADEMIC MEDICINE (2022)

Add to Collection

Review Endocrinology & Metabolism

Consensus on diagnosis and management of Cushing's disease: a guideline update

Maria Fleseriu, Richard Auchus, Irina Bancos, Anat Ben-Shlomo, Jerome Bertherat, Nienke R. Biermasz, Cesar L. Boguszewski, Marcello D. Bronstein, Michael Buchfelder, John D. Carmichael, Felipe F. Casanueva, Frederic Castinetti, Philippe Chanson, James Findling, Monica Gadelha, Eliza B. Geer, Andrea Giustina, Ashley Grossman, Mark Gurnell, Ken Ho, Adriana G. Ioachimescu, Ursula B. Kaiser, Niki Karavitaki, Laurence Katznelson, Daniel F. Kelly, Andre Lacroix, Ann McCormack, Shlomo Melmed, Mark Molitch, Pietro Mortini, John Newell-Price, Lynnette Nieman, Alberto M. Pereira, Stephan Petersenn, Rosario Pivonello, Hershel Raff, Martin Reincke, Roberto Salvatori, Carla Scaroni, Ilan Shimon, Constantine A. Stratakis, Brooke Swearingen, Antoine Tabarin, Yutaka Takahashi, Marily Theodoropoulou, Stylianos Tsagarakis, Elena Valassi, Elena V. Varlamov, Greisa Vila, John Wass, Susan M. Webb, Maria C. Zatelli, Beverly M. K. Biller

Summary: Cushing's disease requires accurate diagnosis, careful treatment selection, and long-term management. The Pituitary Society convened a consensus workshop to discuss recent evidence and clinical practice. Recommendations regarding lab tests, imaging, and treatment options were collated and discussed, with focus on future research topics.

LANCET DIABETES & ENDOCRINOLOGY (2021)

Add to Collection

Article Endocrinology & Metabolism

Italian Association of Clinical Endocrinologists (AME) and International Chapter of Clinical Endocrinology (ICCE). Position statement for clinical practice: prolactin-secreting tumors

Renato Cozzi, Maria Rosaria Ambrosio, Roberto Attanasio, Claudia Battista, Alessandro Bozzao, Marco Caputo, Enrica Ciccarelli, Laura De Marinis, Ernesto De Menis, Marco Faustini Fustini, Franco Grimaldi, Andrea Lania, Giovanni Lasio, Francesco Logoluso, Marco Losa, Pietro Maffei, Davide Milani, Maurizio Poggi, Michele Zini, Laurence Katznelson, Anton Luger, Catalina Poiana

Summary: Prolactinomas are the most common pituitary adenomas and require individualized treatment approaches. Italian neuroendocrine experts have provided guidelines for diagnosis and treatment that can be easily applied in different contexts. Advances in neurosurgical endoscopic techniques have shown that surgery can result in permanent discontinuation of medication and cure for some patients.

EUROPEAN JOURNAL OF ENDOCRINOLOGY (2022)

Add to Collection

Article Cell Biology

The role of growth hormone for fertility in women with hypopituitarism

Julie Chen, Laurence Katznelson

Summary: Growth hormone plays an important role in regulating the female reproductive system and may be helpful in improving fertility for women with hypopituitarism or poor ovarian response.

GROWTH HORMONE & IGF RESEARCH (2022)

Add to Collection

Article Endocrinology & Metabolism

Role of Radiation in the treatment of Cushing Disease

Laurence Katznelson

Summary: In patients with Cushing disease, radiation therapy is an important modality for those who have failed surgery or experience recurrence. Stereotactic radiotherapy can achieve biochemical control and is more convenient for patients. Choice of radiation modality should consider convenience for patients and proximity to critical structures.

PITUITARY (2022)

Add to Collection

Article Multidisciplinary Sciences

Prospective intraoperative and histologic evaluation of cavernous sinus medial wall invasion by pituitary adenomas and its implications for acromegaly remission outcomes

Ahmed Mohyeldin, Laurence J. Katznelson, Andrew R. Hoffman, Karam Asmaro, Saman S. Ahmadian, Mostafa M. Eltobgy, Jayakar Nayak, Zara M. Patel, Peter H. Hwang, Juan C. Fernandez-Miranda

Summary: Recurrence and biochemical remission rates vary significantly among different histological subtypes of pituitary adenoma. Previous studies have suggested that invasion of the medial wall of the cavernous sinus by the tumor may contribute to the relatively low biochemical remission rates observed in acromegaly.

SCIENTIFIC REPORTS (2022)

Add to Collection

Article Nursing

Optimizing Care Teams by Leveraging Advanced Practice Providers Through Strategic Workforce Planning

Clair Kuriakose, Meredith Stringer, Amy Ziegler, Chuyun Hsieh, Megan Atashroo, Joan Hendershott, Vicki Tippett, Deepa Shah, Lisa Cianfichi, Laurence Katznelson, Megan Mahoney

Summary: By establishing a multidisciplinary workforce planning committee, Stanford Health Care has evaluated full-time equivalent positions for APPs with the goal of optimizing and standardizing their role, resulting in positive improvements.

JOURNAL OF NURSING ADMINISTRATION (2022)

Add to Collection

Article Behavioral Sciences

Socio-behavioral dysfunction in disorders of hypothalamic-pituitary involvement: The potential role of disease-induced oxytocin and vasopressin signaling deficits

Lauren Clarke, Olena Zyga, Psalm L. Pineo-Cavanaugh, Michael Jeng, Nancy J. Fischbein, Sonia Partap, Laurence Katznelson, Karen J. Parker

Summary: Disorders involving hypothalamic and pituitary structures can disrupt brain and endocrine function, leading to socio-behavioral dysfunction. Research suggests that disruptions in neuropeptide signaling contribute to the socio-behavioral deficits experienced by patients with these disorders.

NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS (2022)

Add to Collection

Article Education & Educational Research

Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs

Sarah R. Williams, Stefanie S. Sebok-Syer, Holly Caretta-Weyer, Laurence Katznelson, Ann M. Dohn, Yoon Soo Park, Michael A. Gisondi, Ara Tekian

Summary: Safe and effective physician-to-physician handoffs are crucial for patient safety, but poor handoffs remain a major cause of medical errors. This study fills a gap in the literature by exploring trainees' perspectives on handoffs across multiple specialties and provides recommendations for training programs and institutions.

BMC MEDICAL EDUCATION (2023)

Add to Collection

Review Endocrinology & Metabolism

Diagnosis and management of prolactin-secreting pituitary adenomas: a Pituitary Society international Consensus Statement

Stephan Petersenn, Maria Fleseriu, Felipe F. Casanueva, Andrea Giustina, Nienke Biermasz, Beverly M. K. Biller, Marcello Bronstein, Philippe Chanson, Hidenori Fukuoka, Monica Gadelha, Yona Greenman, Mark Gurnell, Ken K. Y. Ho, Juergen Honegger, Adriana G. Ioachimescu, Ursula B. Kaiser, Niki Karavitaki, Laurence Katznelson, Maya Lodish, Dominique Maiter, Hani J. Marcus, Ann Mccormack, Mark Molitch, Christopher A. Muir, Sebastian Neggers, Alberto M. Pereira, Rosario Pivonello, Kalmon Post, Gerald Raverot, Roberto Salvatori, Susan L. Samson, Ilan Shimon, Joanna Spencer-Segal, Greisa Vila, John Wass, Shlomo Melmed

Summary: This Consensus Statement provides evidence-based graded consensus recommendations and key summary points for clinical practice on the diagnosis and management of prolactinomas. It covers various aspects including epidemiology, pathogenesis, clinical presentation, assessment, imaging strategies, complications, and treatment in special situations. The workshop emphasizes the need for additional therapeutic options to address clinical challenges in treating these patients.

NATURE REVIEWS ENDOCRINOLOGY (2023)

Add to Collection

Article Endocrinology & Metabolism

Pituitary Neoplasm Nomenclature Workshop: Does Adenoma Stand the Test of Time?

Ken Ho, Maria Fleseriu, Ursula Kaiser, Roberto Salvatori, Thierry Brue, M. Beatriz Lopes, Pamela Kunz, Mark Molitch, Sally A. Camper, Monica Gadelha, Luis Syro, Edward Laws, Martin Reincke, Hiroshi Nishioka, Ashley Grossman, Ariel Barkan, Felipe Casanueva, John Wass, Adam Mamelak, Laurence Katznelson, Aart J. van der Lely, Sally Radovick, Martin Bidlingmaier, Margaret Boguszewski, Jens Bollerslev, Andrew R. Hoffman, Nelson Oyesiku, Gerald Raverot, Anat Ben-Shlomo, Rob Fowkes, Ilan Shimon, Hidenori Fukuoka, Alberto M. Pereira, Yona Greenman, Anthony P. Heaney, Mark Gurnell, Gudmundur Johannsson, Robert Y. Osamura, Michael Buchfelder, Maria Chiara Zatelli, Marta Korbonits, Philippe Chanson, Nienke Biermasz, David R. Clemmons, Niki Karavitaki, Marcello D. Bronstein, Peter Trainer, Shlomo Melmed

Summary: The debate over renaming pituitary neoplasms as PitNETs has sparked concerns among stakeholder groups. Experts recommend retaining the term adenoma and revisiting the topic as new evidence on pituitary neoplasm biology emerges.

JOURNAL OF THE ENDOCRINE SOCIETY (2021)

Add to Collection

No Data Available

© Peeref 2019-2024. All rights reserved.